Oscar R.

Nephrologist and interventional nephrologist enthusiast. N-PATH Fellow 2021-2023. NSMC Internship Class of 2024.

[Oscar R. @oscarnephro]

¡La fotografía obligada! ¡Si se pudo! @CTOMedicinaES @VictorQuirosG @Pilar_CTO @RaulCTO @opo_MIReando #2MIR18

[Joel M. Topf, MD FACP @kidney_boy]

Holy shit an RCT of dialysis access

[Oscar R. @oscarnephro]

@kidney_boy “Everyone dies”. Ouch.

[NDT @NDTsocial]

Long forms of cardiac troponin T are independent of kidney function and improve the diagnosis of myocardial infarction

🆓https://t.co/ldvXUBlsk3

[Oscar R. @oscarnephro]

@kidney_boy I see. Thanks Joel.

[NephroPOCUS @NephroP]

It’s time for a new #VExUS drawing ✍️
#POCUS #Nephpearls
⚠️ Always interpret in conjunction with #echofirst

[Oscar R. @oscarnephro]

@decubitosupina Más que a mi seguro. Y ya podría MG darse una vuelta por aquí también 🤣

[Oscar R. @oscarnephro]

@decubitosupina Bueeeno, es por que a ti te leen más. Y tal vez se cuela el comentario jaja

[Oscar R. @oscarnephro]

@decubitosupina Si te estoy dando la razón María! 😇

[Oscar R. @oscarnephro]

@GangasMIR Gangas! Te seguía cuando preparaba el MIR, y sigues al pie de la bandera. Eres increíble. Vales muchísimo. Gracias por todo.

[Oscar R. @oscarnephro]

It was my first time at the @VicenzaCourse. Listening first hand from experts about AKI, fluid assessment and critical care was great. Fortunate to have POCUS training with @Tubulocentric and Dr William Beaubien-Souligny. Taking home some homework and food for thought.

[NephroPOCUS @NephroP]

🚨 New #VExUS post on https://t.co/hqYw2WlFqR
Confused by abnormal hepatic vein Doppler waveforms? This post breaks them down using physiology, making it easier to connect waveform changes to the underlying hemodynamics.
🔗https://t.co/smNhInCSx9
#POCUS #echofirst #Nephpearls
If a component of VExUS feels difficult, the answer is to understand it better, not to eliminate it altogether. Simplification can be helpful to some extent, but oversimplification often comes at the cost of losing valuable physiological information.

[Edgar V. Lerma 🇵🇭 @edgarvlermamd]

ARISE FLUIDS: Vasopressors or Fluids in Early Septic Shock ca. 2026 from @NEJM
#Nephpearls #AKIinICU

📌 No significant difference in days alive and out of the hospital 🏥 at day 90 between the 2 groups

⚠️But pulmonary edema 🫁 was significantly lower in the restricted fluids group (0.6% vs. 5.0%)

👉 https://t.co/RTNVJJiNPK

[Oscar R. @oscarnephro]

@Lucialvsan 🫂

[Oscar R. @oscarnephro]

@NephroP Thank you! I’ll check it out.

[Oscar R. @oscarnephro]

@NephroP Does this mean we should always have an ECG line to really know what’s going?

For me, reading correctly the hepatic vein is the most challenging when doing VExUs.

[NephroPOCUS @NephroP]

Hepatic vein Doppler.
S>D or S<D?
Answer the poll below honestly and then see the image with EKG.
#POCUS #VExUS #Nephpearls

[Oscar R. @oscarnephro]

@brian_rifkin @dra_miliflores @CristinaDeReins Wow!

[Oscar R. @oscarnephro]

🗣️

[NephroPOCUS @NephroP]

Periodic reminder:
#VExUS (or RAP) ≠ "Volume" status.
Hemodynamic assessment isn’t a BuzzFeed quiz.
You can’t reduce it to 2 sonographic parameters and a binary yes/no answer.
#POCUS #Nephpearls